A comparative study of the short-term outcomes between laparoscopic resection and open resection for rectal cancer / 中国医师进修杂志

ABSTRACT

Objective To compare the clinical efficacy between laparoscopic resection and open resection for rectal cancer and explore the safety and feasibility of laparoscopic resection.Methods The clinical data of 68 patients suffering rectal cancer resection were analyzed retrospectively.The patients were divided into laparoscopic group(31 cases)and open group(37 cases)according to the operation method.Results There was no significant difference in the number of lymph nodes dissection and postoperative complication rate between two groups(P ＞ 0.05).The operation time in laparoscopic group was significantly longer than that in open group [(162.03 ±39.78)min vs.(142.70 ±30.29)min].The bleeding in laparoscopic group was less than that in open group [(153.23 ± 58.94)ml vs.(247.46 ± 92.51)ml].The recovery of intestinal function time and hospital stay in laparoscopic group was shorter than that in open group [(51.39 ±7.28)h vs.(77.81 ±11.68)h,(12.65 ±2.24)d vs.(15.29 ±3.11)d].And there were significant differences between two groups(P ＜ 0.05 or ＜ 0.01).Conclusion Laparoscopic resection for rectal cancer can achieve short-term clinical efficacy similar to the traditional open surgery,and advantages in terms of safety and postoperative recovery worthy of further promotion.